HomeMy WebLinkAboutBuilding Permit Application 02/09/2021 TUB 9: 15 PAX 772 3367566 AC Advantage, inc. U002/i I004
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 2102-0092
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Ll`g0r-,r
U ti Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue,Fort Plerce FL 34982
Phone:(772) 462-1553 Fax: (772)462-1578
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PERMIT APPLICATION FOR,$ervice panel change
I'E'N :CATI:ON f: s' k.•
Address. 278 NE Sollda Dr
Property Tax ID It: 3419-570-003-000-8 Lot No.25
Site Plan Name: Block No. 72
Project Name:
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panel change-back to back service 150 amp panel change, add 4•quad outlets for work bench, quad outlets to be
dedicated w/qulek disconnect aQ customers request_ existing panel to small, no room for new circuits i
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit-check all that apply:
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_Mechanical —Gas Tank —Gas Piping _Shutters _Windows/Doors `Pond
X Electric _Plumbing _Sprinklers _•Generator _Roof Pitch
Total Sq. Ft of Construction: 5q. Ft. of First Floor:
Cost of Construction:$ 1500 Utilities: -Sewer _Septic Building Height,
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Name Scott Hunter Stafford Name:Don Green
Address:278 NE Solida Dr Company:AC Advantage Inc
_ QI1Y2SSLucie -- ate -A-dd.ress11926 SW Biltmore St
Zip Code' 34953 Fax: City PSLucie State:PI
Phone No_ Zip Code: 34984 Fax:,7723367566�
E-Mall: Phone No7723367366
Fill in fee simple Title Holder on next page(If different E-Mail csr@acadvantagelnc.com
from the Owner listed above) State or County License EC13008940
If value of construction Is 2500 or more,a RECORDED Notice of Commencement Is required.
if value of HAVC is$7,500�or more,a RECORDED Notice of Commencement Is required.
02/09/2021 TUE 9: 15 FAX 772 3367566 AC Advantage, ina. fQ;)003/004
5U'I?eLlr(V�. N,TAL;CQNST�WCTIOf L1CN LAIN CNFpRMATIN:
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DESIGNER ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
I Name; Name;
Address: Address:._
City: State: City: State: I.
Zip: Phone ZIP: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable;
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
i certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult voth your Home Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie my and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with I nd r or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF6tLUC1e COUNTY 0Fstw-i=
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day ofh ,zoz� by this_ day of �p ,2024 by
Don Green. Don Green
Name of person making statement. Name of person making statement.
Personally Known�_OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification ,
Produced Produced
(Signs re of Notary P blic-State of Florida) (5 gnat a of Notary Publi State of Florida)
Jemle Perna Jamie Psme
Commission No. -zteq�_ dI1jOTARYPUBLIC Commission No.��n'J?-: fQ YPUBLIC
-- - s-AT—E'OF-FLbRipA 6TA'r -OFFL0RIDA-- --
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plres 10/28/202 F-xp res 10/2612022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEWV
DATE
RECEIVED
DATE
COMPLETED
ev.
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